Elective and Emergent Endovascular Treatment of Subclavian Artery Aneurysms and Injuries

Schoder, Maria; Cejna, Manfred; Hölzenbein, Thomas; Bischof, G.; Lomoschitz, F.; Funovics, Martin; Nöbauer-Huhmann, Iris; Sulzbacher, Irene; Lämmer, Johannes

doi:10.1177/152660280301000113

Cited by 66 publications

(26 citation statements)

References 21 publications

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“…[59][60][61][62][63] Pseudoaneurysms and fistulas can present in delayed manner. 60,64 Covered stents are frequently used in these lesions, including the Hemobahn/Viabahn (Gore), 48,52,54,55,63,[65][66][67] WALLGRAFT (Boston Scientific), 53,62,64 Fluency (Bard), 52,62,66,68 iCast (Atrium, Hudson, New Hampshire), 48,55,69 custom-made fabric-covered Palmaz (Cordis) stents, 66,70 Jostent (Abbott), 67 Advanta (Maquet), 59 Corvita (Corvita Corporation), 60 and Passager (Boston Scientific, Marlborough, Massachusetts). 67 Dissections, including dissections that result in occlusion, can be treated with bare metal stents such as the WALLSTENT (Boston Scientific) 48,65 and Smartstent (Cordis).…”

Section: Abdominal Aortamentioning

confidence: 99%

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Glaser

Kalapatapu

2019

Vasc Endovascular Surg

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Objective: To review the current use of endovascular techniques in trauma. Summary Background Data: Multiple studies have demonstrated that, despite current guidelines, endovascular therapies are used in instances of arterial trauma. Methods: The existing literature concerning arterial trauma was reviewed. Studies reviewed included case reports, single-center case series, large database studies, official industry publications and instructions for use, and society guidelines. Results: Endovascular therapies are used in arterial trauma in all systems. The use of thoracic endografts in blunt thoracic aortic trauma is accepted and endorsed by society guidelines. The use of endovascular therapies in other anatomic locations is largely limited to single-center studies. Advantages potentially include less morbidity due to smaller incisions as well as shorter operating room times. Many report using endovascular therapies even with hard signs of injury. Long-term results are limited by a lack of long-term follow-up but, in general, suggest that these techniques produce acceptable outcomes. The adoption of these techniques may be limited by resource and surgeon availability. Conclusions: The use of endovascular therapies in trauma has gained acceptance despite not yet having a place in official guidelines.

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Section: Abdominal Aortamentioning

confidence: 99%

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Glaser

Kalapatapu

2019

Vasc Endovascular Surg

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“… 11 The case highlights the possibility of a change from the conventional approach of resecting a subclavian artery aneurysm to a minimalistic intervention. 12 , 13 Moreover, this novel endovascular solution was applied to a patient with MFS, a setting where endovascular strategies are far from being established. 5 , 6 Conversely, particularly in cases with multiple previous thoracotomies and major surgery, a minimally invasive procedure may be the best option regardless of the Marfan background.…”

Section: Discussionmentioning

confidence: 99%

Interventional repair of a vascular aneurysm in a patient with Marfan syndrome

Ghonem

Yuan

Mitsis

et al. 2018

SAGE Open Medical Case Reports

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Marfan syndrome is a heritable connective tissue disorder affecting skeletal, ocular and cardiovascular systems. Cardiovascular manifestations comprise aneurysmal dilatation of aortic root, aortic dissection and rupture; peripheral arterial aneurysms have been reported in femoral, iliac and subclavian arteries with surgical reconstruction as the first-line therapeutic option. We report a Marfan patient with a symptomatic aneurysm of left subclavian artery in the intrathoracic retro-clavicular space; instead of open surgical resection, an endovascular solution was successfully applied by use of a flexible self-expanding stent-graft (W.L Gore® Viabahn® Endoprosthesis 9 × 100 mm) to exclude the aneurysm. This case exemplifies a modern option to manage vascular pathology even in patients with Marfan syndrome. Follow-up over 1 year proved very reassuring with complete remodelling and resolution of the aneurysm; long-term follow-up is certainly warranted, considering the potential of recurrence or initial reactive hyperplasia.

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“…Stent grafts are known to have 94-100% success rates for treatment of inadvertent subclavian artery catheter placement. 5) In Korea, stent grafts are covered by health insurance and are cheaper than percutaneous closure devices. Although stent graft placement at the subclavian artery presents the risk of vertebral artery occlusion, it is possible to deploy a stent graft without vertebral artery occlusion by following the digital subtraction angiography "road map".…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair Using Suture-Mediated Closure Devices and Balloon Tamponade following Inadvertent Subclavian Artery Catheterization with Large-Caliber Hemodialysis Catheter

2016

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Accidental subclavian artery cannulation is an uncommon but potentially serious complication of central venous catheterization. Removal of a catheter inadvertently placed in the subclavian artery can lead to substantial bleeding, as achieving hemostasis in this area through manual compression presents considerable difficulty. Additionally, surgical treatment might be unsuitable for high-risk patients due to comorbidities. Here, we report a case of an inadvertently-inserted 11.5-French hemodialysis catheter in the subclavian artery during internal jugular venous catheterization. We performed percutaneous closure of the subclavian artery using three 6-French Perclose Proglide® devices with a balloon tamponade in the proximal part of the subclavian artery. Closure was completed without embolic neurological complications.

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Elective and Emergent Endovascular Treatment of Subclavian Artery Aneurysms and Injuries

Abstract: Endovascular stent-graft treatment of subclavian artery aneurysms and injuries is a less invasive alternative to surgical repair. Long-term results must still be confirmed in further studies.

Cited by 66 publications

References 21 publications

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Interventional repair of a vascular aneurysm in a patient with Marfan syndrome

Endovascular Repair Using Suture-Mediated Closure Devices and Balloon Tamponade following Inadvertent Subclavian Artery Catheterization with Large-Caliber Hemodialysis Catheter

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